Active NPI
Nicholas Gingras
- Physical Therapist
- Kittery, ME
National Provider Identifier
1972826469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3497
- Practice address
- 75 US Route 1 Byp
Kittery, ME 03904-1784 - Phone
- (207) 475-1160
- NPI assigned
- Mar 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3497 | ME | Primary |
Addresses
Primary practice location
75 US Route 1 Byp
Kittery, ME 03904-1784
Mailing address
5 Woodlawn Ave
Kittery, ME 03904-1208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3497 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1972826469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 WOODLAWN AVE",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 US ROUTE 1 BYP",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041784",
"telephone_number": "207-475-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGRAS",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.